This paper addresses two articles, Evidence-based approaches to breaking down language barriers by Allison Squires and Rapid response teams: What’s the latest? by Shirley A. Jackson. The first article discusses how language creates a barrier between nurses and patients and how to possibly overcome these barriers. Squires talk about how the barriers affect patient care negatively and the consequences of miscommunication such as re-admissions and non-adherence to medication regimen. On the other hand, the latter article discusses about rapid response teams (RRTs) and their roles and well as challenges they have to face while delivering care. It also explores the concept of working collaboratively while providing …show more content…
The role of a rapid response team is to perform a quick, but thorough assessment on a deteriorating patient and provide intervention in a timely manner. The RRT can only do a timely intervention if the afferent team recognizes the need for activation. Therefore, it is important to educate the team with recognizing abnormal vitals or even altered mentation as a reason to activate the team. Many hospitals also have Early Warning Systems that identify any triggers to alert the team, and nurses should periodically review these to optimize patient outcomes. Sometimes, nurses have to overcome any barriers that lead the team from delaying to activate the team. In an effort to improve this, many institutions have set up regular rounds from an ICU liaison nurse to patients who are discharged from the ICU. This visit was done to provide education to staff nurses in areas of patient education and assessment. In some other institutions, nurses review Early Warning Signs frequently to anticipate activation of the team. The RRTs are also becoming more involved in end-of-life (EOL) events. During an EOL event, patients are not able to make decisions for themselves and the RRT is not in a situation to engage the family to make decisions for the patient either. In order for RRT to engage with the family members, …show more content…
It discusses the importance of detecting early warning signs and preventing the patient from going into cardiopulmonary attack. Through close monitoring, nurses are able to promote patient outcome. Also, educating the staff and detecting early signs can reduce the mortality rates. Knowing the importance of prevention is powerful as it encourages nurses to be more careful, especially with the risk population. Regarding the EOL events, the RRTs will be more aware of the lack of communication with the family and therefore will make more efforts to address end-of-life issues with family members. The information found in the article is valuable to the multidisciplinary RRTs as it addresses overcoming barriers as well as working as a team
This summer I was assigned Final Gifts by Maggie Callahan and Patricia Kelley. Both authors worked as hospice nurses and were able to share their thirty-three years of first- hand experiences and knowledge with us to help better our understanding of the special awareness’s, needs, and communications of the dying. The book focuses profoundly on the physical, metaphysical, and psychological traits the dying encounter weeks or days before death. Both Kelley and Callahan are experts at observing every little behavior of the sick and being able to pinpoint specific signs that mean death is approaching. Not only does this book concentrate on the sick and their needs, but it also fits in the families and their duties in such hard times.
Sheriff and Van Sell are nursing professors at the Women’s Texas University and Strasen is a nursing director at the University of Texas Southwest. Sheriff, Van Sell and Strasen present research that suggests nurses and physicians are more likely to encourage family presence during resuscitation (FPDR) if there is a written policy addressing specific criteria for the inclusion and exclusion of family during these procedures. The authors provide a framework to use when writing a hospital policy regarding FPDR. The authors identified several common barriers healthcare professionals have about FPDR and found educational programs about the positive outcomes of FPDR could drastically increase the number of physicians and nurses who would encourage
Now I am old enough to know that death is not the end, but it is the beginning of a new life. We have to submit our lives to God and ask him for the strength to move forward. Worldview about life after death will largely determine how the patient and families welcome death. Now, as a Christian nurse, I can see death in the light of the resurrection of Jesus Christ (GCU, 2015). If I can help the family members to go through this traumatic experience and the grieving process, my Christian calling as nurse will be
When a patient is at the end of life it is very important to value the patients self dignity and their decisions at the mere end of their lives. The end of life care is to relieve the weight of the patient 's shoulders physically and mentally. I approve of end of life caring. Basic end of life care is summarized by improving the care of quality of life and dignity of the ill person. The important themes to good ethics of end of life care is a combination of human rights,respect,dignified care,and privacy.
In the event of a code blue, nurses need to be focused in order to think fast and provide the best care in a timely manner. Imagine how the nurse may not be able to focus in the circumstance where the family was hysterical and
During my nurse training it has become apparent that the care patients receive in an emergency situation is critical upon time and organised, effective team working. It is essential that in a trauma situation, the trauma team be activated only when necessary (Au and Holdgate, 2010). After researching the trauma team activation criteria, it appears there is some discrepancy as to what criteria is used to activate the team, be it a two or three tiered system, or a different system entirely (Tinkoff and O’Connor, 2002). There is also relevant discussion as to who should make the decision on whether the trauma team is activated or not (Clements and Curtis, 2012). I have chosen to look into the activation process further, as it is of upmost importance
In all my experiences as a nurse, I’ve realized the importance of communication, providing holistic care to an individual and empowering them with the knowledge to manage their health. When an illness strikes a person, it affects not just his body, but also his mind and spirit. The art of communication is invaluable to patient interaction and establishing a therapeutic nurse-patient relationship, that facilitate coping mechanisms for patients, moreover it prepared myself as a nurse to meet their individual needs. Furthermore, there is at the moment an insurmountable demand for survivorship care as a result of the advancement in technology and medicine, which made living beyond life expectancy possible for increasingly more people. Living after cancer treatment is not free of complications as there are acute and chronic side effects of treatment that requires constant monitoring and attention, and this information spurred me to shift my focus from palliative to survivorship care.
Enrollment in the mentioned CRNA program will satisfy my personal goal of becoming one of those fulfilled CRNAs. Furthermore, I have enjoyed my journey to this point in my career and am eager to take the next step. During my two years of experience in the ICU, I have developed strong critical thinking skills. I have cared for over 300 critically ill, ventilator-dependent patients. As part of my residency nursing program, I was part of an evidence-based project on IV pain medication and respiratory distress prevention.
SDLA 4: Activity 1 Palliative care continues to evolve in providing better end-of-life care and so does nursing care. Thus, nursing practice is enhanced to satisfy the demand of the palliative care. A nurse provides complex care and fulfils the needs of the patients. Nursing involves in caring work, which focus on patient experiencing agony in palliative and haematological cancer care. Nurses worked in a taxing environment, that can be highly stressful, and often they experience physical, psychological and spiritual exhaustion.
There’s a mean streak of people in this world today and they prefer them home. So that’s when the Hospice team leaders come in. They are always available 24/7 to treat the mind, body, and spirit. The team includes the caregivers, social workers, nurses, chaplains, and trained volunteers. The hospice care supports the patient’s and their family member, relief the patient’s pain and symptoms and help the family members and their love ones to whom want to stay close to their dying and sometimes long-term care.
This allows them to understand that what they see through there eye may not be how it actually is. The REBT has 5 stages that help it be successful. They are as follows: assessing the client 's situation and hypothesizing how the ABCs apply,
With a nurse shortage, patients are not getting the best quality care they should be getting. Archive stated that hospital nurse staffing, is a matter of major concern because of the effects it can have on patient safety and the quality care patients deserve. Nursing-sensitive outcomes is an indicator of the quality care and can be defined as variable patient or family caregiver state, condition, or perception responsive to nursing intervention. Some unfortunate patient outcomes potentially sensitive to nursing care are shock, urinary tract infections (UTIs), pneumonia, longer hospital stays, upper gastrointestinal bleeding, failure to rescue, and 30-day mortality. Research has focused on negative rather than the positive patient outcomes for the simple reason that adverse outcomes are more likely to be documented in the medical record.
When identifying areas which are affected, the problem spans from lack of assistance with activities of daily living, to major medical errors. One study focused on improved resuscitation rates related to appropriate nurse to patient ratios. Those involved in the study site the American Heart Association’s “chain of survival” to directly correlate their evidence. “Better Nurse Staffing and Nurse Work Environments Associated with Increased Survival of In-Hospital Cardiac Arrest Patients” argues that nurses with an appropriate patient load are able to make contact with their patients more frequently, and for longer periods of time, giving those with a potential for cardiac arrest a more “timely response” to their cardiac event. Since “timely response” is the initial phase in the “chain of survival”, the subsequent steps are more likely to yield favorable outcomes.
Teamwork, communication and delegation in nursing are variables dependent on one another in order to be successful. This post is the first in a series on nursing delegation in which we will discuss the team nursing model, the RN 's role in delegation, and how effective communication fosters successful teamwork which leads to better outcomes for patients and employees. Detailed and timely communication among registered nurses (RNs) and other team members such as UAP, leads to improved quality measures and outcomes. In fact, studies have shown that negative outcomes were often linked to an error in communication.
the theory is patient-specific because of the patient’s diagnoses and the limited verbal communication. The theory assumptions are helpful with this patient as the nurses make it a priority to interpret cues which reflect his end of life experience and giving prompt intervention to maintain peaceful experience even at his dying moment. The theory was developed be used with terminally ill adult patients and their families/significant others. The theory is not applicable in its totality with non-hospice or palliative care patients. The goal of the end of life care is not to optimize care rather is to provide comfort measures, dignity and peaceful end of life experience.